Individual
SARA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W4874 EDELWEISS RD, NEW GLARUS, WI 53574-9304
(608) 242-2563
(414) 509-1167
Mailing address
W4874 EDELWEISS RD, NEW GLARUS, WI 53574-9304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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